Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $317.23 / $323.33	Facility		$311.13	$317.23	$323.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $323.33 / $524.65	Professional		$294.35	$323.33	$524.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.84 / $414.84 / $414.84	Professional		$414.84	$414.84	$414.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $696.71 / $696.71 / $696.71	Facility		$696.71	$696.71	$696.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $386.84	Professional		$282.39	$282.39	$386.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.24 / $3,239.07 / $3,239.07	Facility		$1,164.24	$3,239.07	$3,239.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,488.94 / $3,488.94 / $5,072.93	Professional		$3,488.94	$3,488.94	$5,072.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $482.04 / $696.71	Facility		$199.39	$482.04	$696.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $627.04 / $696.71	Professional		$199.39	$627.04	$696.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $639.58 / $731.55 / $1,219.24	Professional		$639.58	$731.55	$1,219.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $465.51 / $696.71	Facility		$199.39	$465.51	$696.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $398.45	Professional		$282.39	$282.39	$398.45
United Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $372.19 / $443.08	Professional		$257.38	$372.19	$443.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.89 / $376.46 / $696.71	Professional		$370.89	$376.46	$696.71